Follow-Up Assessment of Intracranial Aneurysms Treated with Endovascular Coiling: Comparison of Compressed Sensing and Parallel Imaging Time-of-Flight Magnetic Resonance Angiography

The aim of our study was to compare compressed sensing (CS) time-of-flight (TOF) magnetic resonance angiography (MRA) with parallel imaging (PI) TOF MRA in the evaluation of patients with intracranial aneurysms treated with coil embolization or stent-assisted coiling. We enrolled 22 patients who und...

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Main Authors: Gianfranco Vornetti, Fiorina Bartiromo, Francesco Toni, Massimo Dall’Olio, Mario Cirillo, Peter Speier, Ciro Princiotta, Michaela Schmidt, Caterina Tonon, Domenico Zacà, Raffaele Lodi, Luigi Cirillo
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Tomography
Subjects:
Online Access:https://www.mdpi.com/2379-139X/8/3/133
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author Gianfranco Vornetti
Fiorina Bartiromo
Francesco Toni
Massimo Dall’Olio
Mario Cirillo
Peter Speier
Ciro Princiotta
Michaela Schmidt
Caterina Tonon
Domenico Zacà
Raffaele Lodi
Luigi Cirillo
author_facet Gianfranco Vornetti
Fiorina Bartiromo
Francesco Toni
Massimo Dall’Olio
Mario Cirillo
Peter Speier
Ciro Princiotta
Michaela Schmidt
Caterina Tonon
Domenico Zacà
Raffaele Lodi
Luigi Cirillo
author_sort Gianfranco Vornetti
collection DOAJ
description The aim of our study was to compare compressed sensing (CS) time-of-flight (TOF) magnetic resonance angiography (MRA) with parallel imaging (PI) TOF MRA in the evaluation of patients with intracranial aneurysms treated with coil embolization or stent-assisted coiling. We enrolled 22 patients who underwent follow-up imaging after intracranial aneurysm coil embolization. All patients underwent both PI TOF and CS TOF MRA during the same examination. Image evaluation aimed to compare the performance of CS to PI TOF MRA in determining the degree of aneurysm occlusion, as well as the depiction of parent vessel and vessels adjacent to the aneurysm dome. The reference standard for the evaluation of aneurysm occlusion was PI TOF MRA. The inter-modality agreement between CS and PI TOF MRA in the evaluation of aneurysm occlusion was almost perfect (κ  =  0.98, <i>p</i>  <  0.001) and the overall inter-rater agreement was substantial (κ  =  0.70, <i>p</i>  <  0.001). The visualization of aneurysm parent vessel in CS TOF images compared with PI TOF images was evaluated to be better in 11.4%, equal in 86.4%, and worse in 2.3%. CS TOF MRA, with almost 70% scan time reduction with respect to PI TOF MRA, yields comparable results for assessing the occlusion status of coiled intracranial aneurysms. Short scan times increase patient comfort, reduce the risk of motion artifacts, and increase patient throughput, with a resulting reduction in costs. CS TOF MRA may therefore be a potential replacement for PI TOF MRA as a first-line follow-up examination in patients with intracranial aneurysms treated with coil embolization.
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spelling doaj.art-fcf134b45a764a07bda0c1e82f5b8c9d2023-11-23T14:28:42ZengMDPI AGTomography2379-13812379-139X2022-06-01831608161710.3390/tomography8030133Follow-Up Assessment of Intracranial Aneurysms Treated with Endovascular Coiling: Comparison of Compressed Sensing and Parallel Imaging Time-of-Flight Magnetic Resonance AngiographyGianfranco Vornetti0Fiorina Bartiromo1Francesco Toni2Massimo Dall’Olio3Mario Cirillo4Peter Speier5Ciro Princiotta6Michaela Schmidt7Caterina Tonon8Domenico Zacà9Raffaele Lodi10Luigi Cirillo11IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC di Neuroradiologia, 40139 Bologna, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, Programma Neuroimmagini Funzionali e Molecolari, 40139 Bologna, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, Programma di Neuroradiologia con Tecniche ad Elevata Complessità, 40139 Bologna, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC di Neuroradiologia, 40139 Bologna, ItalyDipartimento di Scienze Mediche e Chirurgiche Avanzate, Università della Campania "Luigi Vanvitelli", 81100 Napoli, ItalySiemens Healthineers, 91052 Erlangen, GermanyIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC di Neuroradiologia, 40139 Bologna, ItalySiemens Healthineers, 91052 Erlangen, GermanyIRCCS Istituto delle Scienze Neurologiche di Bologna, Programma Neuroimmagini Funzionali e Molecolari, 40139 Bologna, ItalySiemens Healthineers, 91052 Erlangen, GermanyIRCCS Istituto delle Scienze Neurologiche di Bologna, Programma Neuroimmagini Funzionali e Molecolari, 40139 Bologna, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC di Neuroradiologia, 40139 Bologna, ItalyThe aim of our study was to compare compressed sensing (CS) time-of-flight (TOF) magnetic resonance angiography (MRA) with parallel imaging (PI) TOF MRA in the evaluation of patients with intracranial aneurysms treated with coil embolization or stent-assisted coiling. We enrolled 22 patients who underwent follow-up imaging after intracranial aneurysm coil embolization. All patients underwent both PI TOF and CS TOF MRA during the same examination. Image evaluation aimed to compare the performance of CS to PI TOF MRA in determining the degree of aneurysm occlusion, as well as the depiction of parent vessel and vessels adjacent to the aneurysm dome. The reference standard for the evaluation of aneurysm occlusion was PI TOF MRA. The inter-modality agreement between CS and PI TOF MRA in the evaluation of aneurysm occlusion was almost perfect (κ  =  0.98, <i>p</i>  <  0.001) and the overall inter-rater agreement was substantial (κ  =  0.70, <i>p</i>  <  0.001). The visualization of aneurysm parent vessel in CS TOF images compared with PI TOF images was evaluated to be better in 11.4%, equal in 86.4%, and worse in 2.3%. CS TOF MRA, with almost 70% scan time reduction with respect to PI TOF MRA, yields comparable results for assessing the occlusion status of coiled intracranial aneurysms. Short scan times increase patient comfort, reduce the risk of motion artifacts, and increase patient throughput, with a resulting reduction in costs. CS TOF MRA may therefore be a potential replacement for PI TOF MRA as a first-line follow-up examination in patients with intracranial aneurysms treated with coil embolization.https://www.mdpi.com/2379-139X/8/3/133magnetic resonance angiographycompressed sensingintracranial aneurysmcoil embolization
spellingShingle Gianfranco Vornetti
Fiorina Bartiromo
Francesco Toni
Massimo Dall’Olio
Mario Cirillo
Peter Speier
Ciro Princiotta
Michaela Schmidt
Caterina Tonon
Domenico Zacà
Raffaele Lodi
Luigi Cirillo
Follow-Up Assessment of Intracranial Aneurysms Treated with Endovascular Coiling: Comparison of Compressed Sensing and Parallel Imaging Time-of-Flight Magnetic Resonance Angiography
Tomography
magnetic resonance angiography
compressed sensing
intracranial aneurysm
coil embolization
title Follow-Up Assessment of Intracranial Aneurysms Treated with Endovascular Coiling: Comparison of Compressed Sensing and Parallel Imaging Time-of-Flight Magnetic Resonance Angiography
title_full Follow-Up Assessment of Intracranial Aneurysms Treated with Endovascular Coiling: Comparison of Compressed Sensing and Parallel Imaging Time-of-Flight Magnetic Resonance Angiography
title_fullStr Follow-Up Assessment of Intracranial Aneurysms Treated with Endovascular Coiling: Comparison of Compressed Sensing and Parallel Imaging Time-of-Flight Magnetic Resonance Angiography
title_full_unstemmed Follow-Up Assessment of Intracranial Aneurysms Treated with Endovascular Coiling: Comparison of Compressed Sensing and Parallel Imaging Time-of-Flight Magnetic Resonance Angiography
title_short Follow-Up Assessment of Intracranial Aneurysms Treated with Endovascular Coiling: Comparison of Compressed Sensing and Parallel Imaging Time-of-Flight Magnetic Resonance Angiography
title_sort follow up assessment of intracranial aneurysms treated with endovascular coiling comparison of compressed sensing and parallel imaging time of flight magnetic resonance angiography
topic magnetic resonance angiography
compressed sensing
intracranial aneurysm
coil embolization
url https://www.mdpi.com/2379-139X/8/3/133
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